Providing Effective Prenatal Care: Focus on the Vision

Conceptualizing the ideal outcome is an essential first step in providing effective prenatal care, as it helps determine which subsequent actions will support (or detract from) the realization of your aspirations. [Then] Working backward…, form intermediate goals and step-by-step plans to reach them.


…there is an inexorable growing and deepening toward a certain eventuality that will forever change everyone involved. When the time is right, an amazing convergence of energies, emotions, and physicalities leads to an array of breathtaking events.

7 Steps toward Cesarean Prevention

I feel confident that at least most of the cesareans I have been associated with were actually necessary, many even life-saving. Yet looking back over my practice, I can easily pick out scores of women who surely would have had cesareans had they chosen care elsewhere.

Home: Our Birth Right

For the Inuit, a paternalistic government assumed they would prefer to be flown out to “safer” surroundings of big city hospitals far from home…. It took strong, determined native midwives to restore the continuity of birth and family care back to their community.

Bridging the Gap: Cracks & Chasms

Midwives are great bridge builders. There are so many gaps to bridge! Some are just shallow potholes, little bumps in pregnancy’s road—nausea, backache, heartburn, insomnia. We offer solace and suggest remedies, kindly ministrations to fill in and smooth out ruts in the prenatal path.

Gracious Births

Midwives try to convey these simple truths: Birth is not a clinical exercise. It is not a medical procedure. In nearly every instance, it should not be major surgery. Nor should it even routinely include minor surgery.